Provider Demographics
NPI:1881929297
Name:MERRITT, CONNIE A (LCCE(LAMAZE),CD(DONA)
Entity type:Individual
Prefix:MS
First Name:CONNIE
Middle Name:A
Last Name:MERRITT
Suffix:
Gender:F
Credentials:LCCE(LAMAZE),CD(DONA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5077 ARROYO LINDO AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-1604
Mailing Address - Country:US
Mailing Address - Phone:858-213-1127
Mailing Address - Fax:
Practice Address - Street 1:5077 ARROYO LINDO AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-1604
Practice Address - Country:US
Practice Address - Phone:858-213-1127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-03
Last Update Date:2009-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula